Individual
CARRIE SELDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
34290 FORD RD, WESTLAND, MI 48185-3051
(313) 396-5300
Mailing address
25456 MARY ST, TAYLOR, MI 48180-2034
(313) 402-7414
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
21193141256
MI
Other
Enumeration date
05/02/2023
Last updated
05/02/2023
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